Heffernan, Jennifer Delia

Heffernan, Jennifer Delia is an individual health care provider with primary practice located at 712 N Washington Ave Ste 415 , Dallas TX 75246-1634. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Heffernan, Jennifer Delia can be contacted via phone (214) 820-9115.

Contact Information

Primary practice address
712 N Washington Ave Ste 415 Dallas TX 75246-1634
Phone: (214) 820-9115
Fax: (214) 820-9135
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X M1751 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M1751 Texas

Profile Details

NPI number 1992781256
LBN Legal business name Heffernan, Jennifer Delia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Mar 31st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992781256 NPPES
Texas MEDICAID 177453101
Texas Other P00258017
Texas Other 8M6746

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